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Answers are for entertainment purposes only and do not constitute medical advice or a doctor-patient relationship. I may not personally know or have a referral relationship with the doctors and the other experts who provide you answers through this free service. This is not a substitute for medical care - call 911 for emergencies or go to your local Emergency Room.

Anonymous Patient

These could be symptoms of hyperthyroidism, pregnancy, premature ovarian failure, infection, influenza, food poisoning and so on. More information is needed and you should probably see your doctor if these have persisted for more than a day or so. THis site is not for listing some ambiguous symptoms and not giving further information. What do you expect? IT is impossible to give anyone a diagnosis with such meager information.

Anonymous Patient

What do you mean by excessive self pleasure. Anyone who has scabs from rough treatment should be seen by a doctor to make sure that they are outbreaks of Herpes, which can occur anywhere on the skin. You also take multiple similar medications which indicate possible overmedication. Why would you take two tranquilizers along with a stimulant? Something is not right here.

Anonymous Patient

Dropping blood pressure with position change is often called "orthostatic hypotension". It is related to low BP that drops lower when blood pools in the legs upon standing. Thyroid deficiency can also cause dizziness which might be a similar symptom. Having one hormonal problem may be connected to having several other hormonal imbalances. See your gynecologist or endocrinologist for a hormonal assessment.

Anonymous Patient

YOu cannot lose weight by working out. All you do is create and tone more muscle. You should stop eating so much and it sounds as if you have a binging disorder if you take Vyvance. The best thing to do is pay attention to your food intake.

Anonymous Patient

VAlium and Klonopin are both benzodiazepines or minor tranquilizers. The difference is in length of action. Valium can last about 92 hours after a single dose and Klonopin about 12 hours. It is difficult to establish an equivalence, but approximately 1 gram of Klonopin is equivalent to about 10 mg of Valium. The problem is they last for different lengths of time. Also Valium is much more addicting than Klonopin or clonazepam. I would ask your doctor why he changed your meds.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Infected hair follicles called Folliculitis needs treatment with topical antibiotics and usually hot compresses. Whether it becomes infected by resistant staphlococci depends on your immune system and exposure to MRS. If it does not heal with a week or so, see your doctor. Topical agents such as Bactroban are often effective.

Anonymous Patient

It sounds as if you were kicked near a nerve in your leg and this can cause temporary loss of sensation. Time and ice may help but if it persists for more than a week or causes pain when walking you should probably see a neurologist.

Anonymous Patient

Your test confirms that you have been exposed to Hep B. Your explanation below your positive result clearly states what this means. The Normal is Negative for the virus and the range of normal is shown on your test. You need further testing to see if you are still infectious and you should not donate blood at the Red Cross.

Anonymous Patient

As far as I know, nobody would get HIV meds if they were not HIV positive. HIV can be transmitted by blood products and piercings. The meds work on various factors that the HIV uses to attack helper cells and would have no effect on HIV negative patients. THese meds do not stimulate normal immune systems.

Anonymous Patient

Short duration pain that moves from side to side is often muscular. What is your question. There is no question here and the best advice is to see your doctor if the pain persists for more than five days. It is impossible to determine what is going on from a brief outline such as you provided.

Anonymous Patient

The blood vessels in the nasal lining are very close to the surface. Nose picking, dry air, use of aspirin and certain blood clotting diseases, in addition to high blood pressure can increase bleeding. Your boyfriend should see an ENT specialist and either get the vessels cauterized or find out why he is bleeding repeatedly.

Anonymous Patient

Due to excessive weight and possible metabolic problems, you should probably be switched to another antidepressant that does not cause these symptoms. There are antidepressants that help with weight loss and a weight reduction program might help your symptoms. Pristiq is usually dosed at 50 mg and your high dose may be causing some of the side effects. Without an exam and metabolic tests such as TSH plus hormone levels including DHEA-S , it is not possible to figure out what is wrong.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Of course several STD's are spread by skin contact. For example HPV, herpes are all transmitted by skin to skin contact. There is a vaccine for HPV , Gardasil, which should be given to all boys and girls ages 12 to 26 to protect against cancer. HIV is transmitted by blood or body fluids and would require a cut on the skin to transmit. Syphilis and Gonorrhea are more difficult to transmit by skin and require mucous membrane contact such as intercourse, or oral and anal sex.

By the way, pseudoephedrine nasal spray can cause dependence due to the rebound effect.

Anonymous Patient

If you have HPV, human papilloma virus, which is transmitted by sexual contact, and can cause either oral or genital warts, then you need to see an infectious disease specialist or go to an STD clinic. There is a treatment for HPV, but from the picture it does not look like you have warts. Perhaps you should get a second opinion from a dentist to make sure you don't have something else.

Abraham H. Kryger, MD, DMD

Anonymous Patient

How many is all of them? The toxic dose of Lorazepam, which would cause death is about 45 mg. If he used alcohol along with the Lorazepam death could occur at a much lower dose. Tranquilizers are dangerous, addicting and you can develop tolerance to their effects.

Anonymous Patient

Both Seroquel and Valium can cause impotence and ED. Your PTSD is also associated with loss of sex drive and ED. A low dose of injectable testosterone will have no effect on ED and you should be seen by an andrologist, endocrinologist specializing in male hormone issues.

Anonymous Patient

This is not an easy question and it is impossible to identify the problem from this brief history. I would suggest a visit to my office or your own physician and some testing. If this is related to your menstrual cycle it could be a form of depression called premenopausal dysphoric disorder. IT sounds to me as if you have some central nervous system problem with the spasms, spaciness, pain and mood swings. This venue is only for simple medical questions, not for diagnosis for complex issues.

Anonymous Patient

It is impossible to diagnose a disease from this complaint. You could have the flu or a cold. Both of these are viral diseases and do not require treatment. See your physician if the symptoms do not disappear in 5 days.

Anonymous Patient

Increased frequency of ejaculation can raise your testosterone levels and decrease risk of prostate cancer, but I have not seen anything indicating it would affect your growth hormone. Usually at your age, GH and testosterone are both peaking.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Gaining weight has never been a problem for the American public. Obesity is the fastest growing condition among all young adults. IT is unclear if you had the baby, lost the weight after the pregnancy or just want to gain weight during pregnancy. Weight loss of more than 10 pounds which is not desired is often a sign of a serious disease and you should see your obstetrician.

Anonymous Patient

If Hydroxycut was an approved Vitamin Supplement, it would not have any affect on your blood pressure. If it was an OTC medication, it would state whether it would affect blood pressure. However since it is an overly expensive, marketed bodybuilding weight loss supplement, that does not show its ingredients I would not be able to tell you if it was safe, effective or even worth the money they charge for it. Buyer beware!!!

Anonymous Patient

It definitely sounds as if you strained a muscle, but I am not sure what your question might be. If you think it is painful to do a situp, then do not do it. Muscular strains usually heal on their own. If you have developed a hernia then you will find a lump in the area of pain.

Anonymous Patient

Increased tremors of the head and hands are probably related to Parkinson's Disease or some other neurological problem. Your friend is probably aware of it and if she isn't then you need to take her to her doctor.

Anonymous Patient

Constipation as you report can cause many problems with hemorrhoids being only one problem. You should consider using an OTC laxative like Miralax and if this problem does not clear up , see your doctor.

Anonymous Patient

Your symptoms can be related to low blood pressure or an irregular heart rate. To refuse to see a doctor is not wise and if this continues you will end up in the ER without insurance, like most people who are not insured.

Anonymous Patient

Don't worry. IT is not unusual for teenage girls to grow some hair while their hormones are balancing. Teenage boys also develop breast tissue during this time. Increased acne and hair growth is a sign of high testosterone, while increased breast tissue and fat around the hips are signs of increased estrogen. These levels balance out by the time you are over your teens and usually need no treatment. See your Gynecologist if you have concerns and your period is also irregular.

Anonymous Patient

IT is not necessary to tell a doctor what tests to run. You should clean the areas with peroxide and apply antibiotic ointments, but your doctor will probably put you on an antibiotic which affects the skin.

Anonymous Patient

Shutting off your mind requires training. You could try meditation , good sleep hygiene habits, no bright lights before bed, decrease your dose of Concerta, or take an OTC sleep aid containing diphenhydramine, eg: Unisom or Calms Forte containing Melatonin. Sleep debt must be made up so going to bed earlier each night will help. If these techniques don't work, there are several, safe , non-addicting sleep meds such as Rozerem available.

Anonymous Patient

This sounds like a premenstrual syndrome or PMDD and you should see your gynecologist. Also your symptoms may be related to hormonal imbalance such as hypothyroidism. It is impossible to tell from your few symptoms and a full gynecological exam is needed.

Anonymous Patient

The picture is not adequate and you could have venereal warts or herpes, both of which are difficult to distinguish. If you are embarrassed to talk about this with your doctor go to an STD clinic where you will remain anonymous until your sexual contacts have to be notified if you have an STD.

Anonymous Patient

Hair loss can have many causes including stress... alopecia areata is a condition that occurs in young women who either pull their hair out unconsciously or wear tight ponytails with rubber bands. See your skin doctor for treatment.

Anonymous Patient

Low WBC is not an indication of autoimmune disease. You would have to have specific testing for anti-nuclear antibodies, sed rate, RF, etc. You have some leukopenia and should be investigated further. Worrying about a disease is never a solution. See a hematologist if you are concerned.

Anonymous Patient

Get an Epipen. The more often you are stung, the less reaction you should have as you become desensitized. your heart condition is a risk factor for death from anaphylactic reactions so have your doctor prescribe an Epipen.

Anonymous Patient

Fungal overgrowth in the vagina is common in women and easy to treat . Over the counter Massengil vinegar douche is helpful , but sometimes anti-fungal medications are needed. Penis rashes are rarely related to fungal infections unless the man is not circumcised.

Anonymous Patient

The causes of pain with pressure and numbness are usually associated with some nerve involvement. IT is impossible to diagnose any condition from a simple complaint. The human body is much more complex than any machine. Numbness in the arms and hands is related to some pressure on the spinal nerves. YOu should see a neurologist.

Anonymous Patient

Chest pain associated with emotional illness is more common than we think. IT is unusual for a young female to have problems with her heart, but the esophagus, stomach , ribs and sternum can cause pain. You cannot fix a problem until you know what the cause might be. It is worthwhile to see your doctor.

Anonymous Patient

Rectal pain is often related to inflammatory bowel disease ( IBD). A colonoscopy is not usually indicated in patients under 45, but an examination of the anus, or anoscopy can determine if you have a tear, rectal fissure, fistula, IBD or internal hemorrhold. I suggests you get some Anusol suppositories, try a Sitz Bath and see your gynecologist.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Normally the heart produces two distinct sounds from the valves closing. S1 and S2 sound like "lub---dub"; any other sounds are considered murmurs. These are usually caused by leaky valves that are not closing tightly. One of these valves , the Mitral Valve, can cause anxiety as a symptom. See your cardiologist if you have concerns.

Anonymous Patient

These symptoms are unusual in a young female, but can be related to allergic reactions, infections of the upper respiratory system, anxiety, overuse of inhalers and other conditions that do not show up on Chest Xray. I suggest a visit to your pulmonologist.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Edema of the extremities, can be related to many different problems. Hypothyroidism is only one cause. OThers include: angioedema, allergies, excess salt consumption, heart failure, etc. See your endocrinologist.

Anonymous Patient

I assume you mean Depo-Provera. Of course it is hormonal. Cessation of progesterone brings on a menstrual cycle and since progesterone acts like a tranquilizer on the female brain, abrupt cessation will bring on anxiety, etc. See your Gynecologist.

Anonymous Patient

Diarrhea refers to more than three watery BM's a day. Treatment depends on the cause. Most people improve with probiotics and/or fiber supplements. To decrease the discomfort Sitz baths are recommended after BM's and hemorrhoidal creams like Anusol help . Witch Hazel has also been used for relief but Baby Wipes contain the same ingredients. If it continues, see your doctor.

Anonymous Patient

i doubt you have ruptured an ear drum... you would be in terrible pain. IT is possible that you have wax buildup and it has affected your hearing. It is impossible to look into the ear with a flashlight, you need an otoscope.

Anonymous Patient

It is not unusual for teens to have erections lasting 2 hours. As long as you get some release so that it does not last that long every day, it makes it difficult to work or go to school with an erection. Masturbation counts as sex.

Anonymous Patient

Inhaling bleach should not cause upset stomach. Something is wrong. I suggest you see your doctor at once. Did you swallow the bleach or just breath the fumes? Bleach can be irritating and cause Nausea but should not cause stomach problems unless you actually swallowed it.

Anonymous Patient

This is a difficult situation to deal with since your fiance has to be willing to see his doctor , a urologist, and discuss his concerns and pain. Usually there is residual tenderness in the urethra after passing a stone and he might need some urinary analgesics to decrease the pain if it is not related to an infection. A visit to the urologist with you along for moral support is needed.

Anonymous Patient

High BP meds takes about 5-7 days to work but your BP is high, yet not dangerous. I would suggest you see your psychiatrist or whomever does your prescribing of Seroquel. Canned soups are high in sodium and that can raise your BP as well as increased weight and anxiety.

Anonymous Patient

Pneumonia can be transmitted by saliva, but not after antibiotics. Pneumonia is the 5th commonest cause of death, so it is still dangerous. There is a vaccine for pneumonia. IT is unlikely that you are infected, but you could be imagining the symptoms. If you develop symptoms of cough, shortness of breath, and dark sputum, you should see a physician and get treated.

Anonymous Patient

Sorry to hear about the illness that your father suffers from . I have no idea what prancitis is but do you mean pancreatitis from alcohol consumption? Ask your father what he wants done. It is his life. This is a difficult situation for an aging parent, but it is basically up to him.

Anonymous Patient

FAtty liver could be the problem. You should really do further testing and there is evidence that taking Vitamin E may help reverse non alcoholic fatty liver disease. See an internist who specializes in liver problems.

Anonymous Patient

What makes you think nothing is broken? Obviously something broke and you should get an Xray to see how bad the fractures might be. Taping the toes to normal toes is sometimes helpful but I would suggest a visit to a podiatrist.

Anonymous Patient

Stress is related to feeling out of control. Either you can regain control or do something to relieve the stress. Exercise and stress reduction, including doing what you enjoy are good ways to relieve stress. The only over the counter sedatives are Kava or Valerian, sold as Calms Forte. Restoring your sleep is a good first step. I suggest you deal with the stressful issues rather than looking for a pill to handle the stress. Stress can lead to several diseases.

Anonymous Patient

Nasal inflammation or Rhinitis can last for years, resulting in chronic symptoms such as you describe. The best treatments are a combination of nasal steroids, anti-histamines and Singluair. Best to get treated by an ENT specialist.

Anonymous Patient

A paronychia or infected nail requires that the edge be relieved so that it does not press into the bed. Usually this is done by a podiatrist. You can try notching the center of the nail or slip some cotton under the edge of the nail after soaking the nail in hot water. Usually the pain is such that walking is difficult. I would suggest seeing a podiatrist.

Anonymous Patient

Tylenol is quite safe and doses up to 3000 mg have been used without problems, but that is the maximum dose. However, it is very possible that you can get any type of intestinal side effect from pain meds.

Anonymous Patient

Appendicitis can mimic other intestinal infections and pelvic inflammatory disease and symptoms can come and go. The best thing to do is get a CT scan and see what is really wrong. Again always see a physician if you have pain.

Abraham H. Kryger, MD, DMD

Anonymous Patient

THis is an extremely risky behavior and can result in perforation and permanent injury, including infections and strictures. I do not recommend you do this without medical supervision. Another problem, even if you do it properly is the keratinization of mucous membrane which can result in dysplasia or precancerous changes. Stop doing this and stick to stimulating the outside of your penis and not the inside of your urethra.

Anonymous Patient

Any piercing of skin is prone to infection . You should remove the piercings and clean the skin with hydrogen peroxide and clean the rings with alcohol. If the itching does not go away, see a physician.

Anonymous Patient

Sounds like you may have some ovarian issue or possibly something else wrong with your intestines. Cramping usually indicates some muscular spasm. Without a medical visit, it is impossible to tell you what is wrong, other than you need to see a physician if the pain continues.

Anonymous Patient

Your tonsils are your body's first defense against anything entering your mouth and are collections of lymphoid tissue. Irritation from electronic cigarettes has been known to cause tonsils to become enlarged and inflamed. I would suggest you stop using the electronic cigarettes and see an ENT if the problem does not go away.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Bleach containing sprays are irritating to the lungs and nose. Aside from cough , headache or sore throat, the effects are often temporary. Some people can become sensitized to these agents and get rashes, or nausea upon contact.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Vitamins are food nutrients that have been extracted and are available as supplements. All vitamins are essential to life and most people get plenty in their diet. They are not drugs, even though some people try to use them to cure or treat certain diseases. Deficiency in Vitamin D, E and A do occur rarely in malnourished individuals but these create symptoms of deficiency. Vitamin C has no benefit in colds or flu, but has been touted as being a treatment for certain diseases. They do not help you gain weight or look better unless you are deficient.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Fatigue is a non-specific symptom than can occur with anything from Anemia to Upper Resp infection. It is not possible to diagnose without a medical visits,detailed history and testing. Getting adequate sleep is the first treatment and more information is needed for a diagnosis.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Abnormal sweating or hyperhydrosis can be a sign of an abnormality in norepinephrine secretion or the presence of a tumor , if it is of sudden onset. It can also be related to nervousness and anxiety. I suggest a visit with an endocrinologist to find out the cause. If it is on your hands, certain deodorants can help, but anywhere else, you may need medication.

Anonymous Patient

Once you have the Herpes Virus, it is dormant until it flares up with Cold sores, HPV1 or Genital sores HPV2 or Shingles , HPV3. Any test would show that you have antibodies so it does not matter when you were tested. Early treatment can prevent further outbreaks.

Anonymous Patient

An uncomfortable feeling in the throat can be a sign of several conditions besides reflux. Thyroid disease can cause difficulty swallowing, allergies and decreased salivary flow can cause dry mouth and throat. I would suggest you stop the lozenges and try something like Bioteen for dry mouth or an antihistamine. Both are over the counter. Also you should see an ENT specialist to look down your throat and make sure everything looks normal.

Anonymous Patient

If your BP measurements are accurate, you are describing a condition known as " orthostatic hypotension". That means when you stand upright, the blood pools in your legs and you feel faint. The next step is to have your doctor confirm the diagnosis and treat you appropriately. Also take your time getting up and if you feel dizzy , get down flat so that your head is level with your heart. The highest risk if falling and fainting and breaking something .

Anonymous Patient

IT is difficult to connect a sinus infection to tingling in the back. However, it is possible she has some itching from her allergies and is interpreting it as tingling. I would make sure she sees her pediatrician to make certain she is not developing an allergy to the Amoxicillin.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Yes, allergic reactions only occur after "sensitization" to some protein compound. That means you can only become allergic to something you have used repeatedly. Allergies also can be seasonal and related to various air pollens, etc.

Anonymous Patient

It can take up to 3 months to clear your lungs after smoking . However, some people take longer. I would get a chest X ray if you have not had one for two years. See an ENT specialist if you are not getting better.

Anonymous Patient

Not all herbal supplements are safe, or predictable. The ingredients you mention are not guaranteed to raise estrogen nor progesterone levels but some can cause liver damage if used daily. Best to use the appropriate hormone, such as progesterone cream rather than looking to self-medicate.

Anonymous Patient

Diatomatious earth comes in food grade and pool grade. IT is safe for animals but should not used in humans. Parasites can be treated effectively with anti-parasitic medications, which are indicated for humans. If you have an autoimmune disease like Lupus then you need a proper stool culture diagnosis before treatment.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Blood anywhere it should be is a reason to see a doctor. You may have just scratched your ear canal, but blood is a warning sign. Also since you are diabetic and have high BP, blood in your ear may indicate a serious medical condition.

Anonymous Patient

Normal blood sugar runs under 100 and diabetes does not always present as symptoms of thirst or frequent urination. However ,once your blood glucose is as high as 250, you have lost control of your blood glucose and probably have diabetes. Symptoms such as neuropathy or loss of feeling plus tingling or vision problems can occur from the high glucose levels. See your doctor and get tested. I am sure you can get control with proper medication and treatment.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Congratulations, quitting cigarettes is probably the most important thing you can do to improve your future health. There is always a clearing period after quitting wherein you will cough up black crud, feel nauseated, anxious and generally out of sorts. This usually lasts about a month , but since your nausea is continuing, I suggest a spiral CT scan, which is now approved to screen smokers for lung, stomach, throat or esophageal cancers.
You can treat mild nausea with ginger tea, ginger ale, candied ginger and cola syrup. If it persists see your physician. Many patients quit nicotine, only to find that it has been masking their depression, appetite and sleep problems.

Anonymous Patient

YOu have definitely developed a condition known as erectile dysfunction or ED. Reaching orgasm with a soft , non erect penis is the first sign of impotence. Loss of blood from the penis is what causes problems with penetration. The many causes are listed below, but if anxiety is the issue, ED is psychological and can be treated with both an erection enhancer like Cialis, Viagra, Levitra or Stendra and psychotherapy. About 30% of ED is related to low testosterone levels and both free and total testosterone must be measured.

Abraham H. Kryger, MD, DMD

Anonymous Patient

The commonest reason for burning with urination is urinary tract infection. It can also occur with Herpes, STD's and concentrated urine. Best thing is to get a culture and sensitivity from your doctor.

Anonymous Patient

Herpes is the commonest viral STD and infects up to 60% of people. Herpes is also called "the great masquerader" and can look like many different infections from rashes, to blisters to nothing but tingling and pain. A lot depends on whether you were tested for both Herpes 1 and 11 or even type 111. Type 1 is the common cold sore herpes, type 11 is genital herpes and type 111 is shingles or reactivation of childhood chicken pox or varicella. All three types can be treated if detected early. Don't wait, start treatment ASAP.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Being both a dentist and physician, I can assure you that infected teeth can cause symptoms throughout the body. Abscessed teeth can even cause heart damage. You should see a dentist at once and get treated. Do not put this off.

Anonymous Patient

There is no question here. This lady has a very high risk of ovarian or lung cancer. HEr weight gain increases her risk for all types of cancer as does her 20+ year smoking history. She definitely needs to see a gynecologist and have a full workup for malgnancy. Defnitely stop smoking, lose weight and start an exercise program with a strict vegetarian diet.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Temperature dysregulation is always a sign of something amiss in the human body. Night sweats can be related to hormone deficiency, such as: progesterone deficiency, thyroid problems or even blood abnormalities. You really should be checked out by your heart doctor at age 84.

Anonymous Patient

Your severe pain certainly sounds like a potential kidney infection, which may be in the early stages after a urinary tract infection. You should see your urologist or gynecologist for treatment right away.

Anonymous Patient

Fear and anxiety since childhood is most likely related to major depressive disorder , which is inherited. I am sure you have not tried every antidepressant. There are conditions which mimic the anxiety of depression and they are related to hormonal imbalances. One is related to adrenal problems and is called adrenal insufficiency due to cortisol deficiency . Cortisol excess or Cushings can also cause anxiety and depression . Another hormone that can cause anxiety is the thyroid and this is hyperthyroidism. A tumor of the adrenal cortex can cause a condition known as Pheochromocytomas. These are adrenal gland tumors that produce excess adrenaline. You really should have a total hormonal workup including testosterone levels since low T or hypogonadism can also cause irritability and depression.

Anonymous Patient

IT is always OK to have protected sex, even if you have an STD, but... oral sex can also transmit Chlamydia. Oral sex is usually unprotected, and still risky . You really should wait till you are clear and non infectious if you want to have any type of risky sex.

Anonymous Patient

First of all you may need a throat culture to see if you actually have cleared the chlamydia. Secondly , this does not sound like heartburn, but the use of strong antibiotics can kill the good organisms in your intestine. Therefore probiotics three times a day are indicated if your throat culture is negative. IF the culture is positive, you need more antibiotics and more probiotics after you finish the course. If you have reflux and have burned your throat with the stomach acid, the three months of proton pump inhibitors, like Nexium or Protonics may be needed. Go back to the doctor who treated your chlamydia and let him check you out again.

Abraham H. Kryger, MD, DMD

Anonymous Patient

Your dark phlegm sounds like either clearing from smoking cigarettes or chronic bronchitis. I would suggest you see a physician, get a chest Xray and possibly even culture of your sputum. If there is any trace of blood in the phlegm, you are at high risk .

Anonymous Patient

it could be some type of nerve pain, even early shingles attack. Have to see how it develops. If more sores break out in the area of your temple and toward the eye and jaw, then it is probably shingles herpes virus attacking the trigeminal nerve.

Anonymous Patient

MOst viral infections are self-limited and need no treatment. The more symptom relievers you take, eg. Mucinex, Theraflu, Tylenol, etc. the longer the symptoms persist. The human body gets rid of the infection by coughing, raising body temperature and causing fatigue so that the patient rests. The more you fight the symptoms, the longer the disease persists. The best treatment for cough is to breathe steam ( in the shower) or use a simple remedy like honey or tea to stop the tickle in the throat. Antibiotics have no effect on viruses such as flu or colds. If your mucous is too thick to cough up, increase fluids.

Anonymous Patient

The disruption of your intestinal flora, partly due to your antibiotics and partly due to your surgery and other medications, is creating symptoms that indicate a serious problem. Along with post op complications the possible superinfection resulting from the antibiotics could lead to chronic diarrhea and abdominal cramping. However, without an examination by your physician, restoration of the flora using multiple probiotics and something to stop the fluid loss from diarrhea, you may be in serious trouble. Immediate treatment and diagnosis is needed.

Abraham H. Kryger, MD, DMD

Anonymous Patient

THis is very unclear. Did you smoke with a mug of milk? or did you eat fish you had smoked? Chest and stomach burning is not always due to heartburn, but most often, symptoms of sour taste in mouth, burping and burning in the middle of the chest can be due to reflux. Most reflux treatments are sold over the counter, but I recommend that you try probiotics if you really have an upset stomach.

Anonymous Patient

This is a potentially serious problem. A sed rate may be slightly elevated ( above 20) without any detectible disease present, but a level greater than 140 should be followed up with antinuclear antibody (ANA) and a repeat if you have lupus.

Anonymous Patient

Pain is always a warning sign in the human body and this type of pain, depending on how long it has been present or how often it occurs could be a warning of something serious. Pain on the right side can come from other organs besides your ovary. It could be related to your appendix, colon or even a hernia.

Your age and gender indicate that a serious problem may exist and I would certain start with a non-invasive ultrasound study to see what is in the area of your pain. Again, it is impossible to make any type of diagnosis without a medical visit and examination by a physician.

Anonymous Patient

It is impossible to evaluate any "lump" without being examined by a physician. Painless , soft lumps in that position may be fatty tumors , called lipomas, which are benign but without an examination it is impossible to speculate.

Most, but not all cancers are hard and don't move around easily, but some are painful and some are painless. From what you describe, without giving size or location, it really is in your best interest to see a physician and get a proper diagnosis.

Abraham H. Kryger, MD, DMD

Anonymous Patient

The commonest cause of "blocked ears" is ear wax accumulation leading to impaction from improper use of Qtips. Called "impacted cerumen" this condition responds well to a wax softening treatment like Debrox or another ear wax remover and then irrigation and suction by an ENT or Family Practice doctor once the wax is soft.

After removal of the wax, Debrox can be used monthly and a hearing test should be performed to see if there is any hearing loss.

Anonymous Patient

Trying to clarify, what tolerance are you referring to ? Are you using Benadryl or diphenhydramine products such as Unisom or Tylenol PM to help you sleep? Chronic sleep problems are often the first sign of depression. If this problem came on suddenly, I would suggest a sleep study to see if the problem is related to decreased oxygenation of your blood or nasal obstruction making you a "mouth breather". If the problem is chronic and has been present for years and you have tried the non-benzodiazepine sleep aids like Ambien, Sonata or Lunesta, then tolerance is possible and that is why increasing doses are available.

Regardless of the cause, I have found that using the Stanford sleep lab suggests are best and try going to sleep one hour LATER each night until you cannot stay awake any longer. In these cases resetting your sleep cycle, making sure the room is totally dark without any night lights and a low dose of 500 mcg ( micrograms) of melatonin has been shown to help after three weeks of regular use one hour before sleep is desired.

Anonymous Patient

I think it would depend on the reason the patient was being dismissed. If a patient is addicted to opioids and is using multiple pharmacies and physicians then it would be important that the entire staff be notified about the problem. THe same reasoning would apply if the patient was disruptive to the staff and non-compliant with medications.

Otherwise, most patients are dismissed with a form letter, approved by the medical board or their malpractice carrier, as a way to discharge a patient from a medical practice if their personality or non compliance created a problem with the doctor/patient relationship.

Abraham H. Kryger, MD, DMD

Anonymous Patient

NOt only is this not a question, but there is not enough history to figure out what is going on. Feeling tired can be related to depression, dysthymia, low thyroid, poor sleep, hormonal imbalance, etc. WEight gain is also not a question and can be caused by the same conditions in addition to sleep apnea, overeating and imbalance of gut bacteria. This individual needs to leave a better history and see his /her doctor for history/physical and blood work.

Anonymous Patient

A muscle spasm can shift the spine and make it look like the torso is crooked. The best treatment in addition to what the ER gave you is bed rest on ice alternating with heat. The combination helps the muscle relax and reduces the pain. STay away from the gym till you are well.

Anonymous Patient

An elevated Sed rate indicates some type of autoimmune or inflammatory condition. I would repeat the test and also get a C reactive protein , autoantibody testing and a complete physical examination. For some unknown reason the extra protein autoantibodies make the cells heavier and they settle faster increasing the rate of sedimentation ( settling) . This test is not specific for any disease but in women it tends to point to Hashimoto's Thyroiditis, Rhematoid Arthritis ( RA) or possibly Lupus or Scleroderma.

Anonymous Patient

In addition, I would add, stop applying irritating compounds to the rash. Start taking probiotics to restore the balance of good bacteria in your intestine. Talk to your doctor about stopping the Bactrim and use a soothing lotion like Calamine to stop the itching and scratching. Good luck . DrK